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TURP stands for transurethral resection of the prostate gland. It is a minimally-invasive procedure to remove prostate tissue and improve urine flow in men with enlarged prostate glands. The London Clinic's world-leading urologists use an innovative device called a resectoscope to shave away part of the prostate, reducing bladder obstruction and easing distressing urinary symptoms.

Prostate problems are common, affecting one in three men over the age of fifty. The London Clinic's urology team provides TURP together with a comprehensive range of innovative prostate treatments, and a comfortable, stress-free environment in which to recover. 

The London Clinic's urology consultants perform TURP in state-of-the-art operating theatres, using the latest equipment and technology. The urologists are assisted by an expert multidisciplinary team that will support you from your first consultation, during your procedure, and throughout your recovery. 

What is TURP?

TURP is transurethral resection of the prostate gland. It is surgery to remove part of the prostate gland to prevent it from obstructing urine flow.

The prostate is a small, walnut-sized gland located between the bladder and penis in men. As the prostate gland grows, it can progressively obstruct the bladder, where it joins the urethra, affecting the normal flow of urine.

In TURP surgery, the consultant urologist operates through a surgical telescope to shave away tissue from the prostate, relieving the blockage and improving urine flow.

Who can benefit from TURP?

Benign prostate enlargement or BPH is the most common cause of prostate enlargement. It gradually blocks the flow of urine, increasing the risk of urine infections, and causing distressing symptoms, including:

  • Problems initiation urine flow.
  • Needing to pass urine more frequently.
  • A weak urine stream. 
  • The sensation that the bladder isn't emptying properly.
  • Dribbling after passing urine.
  • Getting up at night to go to the toilet.
  • Urgency when you need to pass urine.

Treatment options

The urologists at The London Clinic provide comprehensive treatment programmes for prostate problems. 

As well as TURP, other treatments can improve urine flow and resolve symptoms. The London Clinic offers medical therapies, surgical procedures, and innovative new treatments for BPH. These include:

  • Bladder neck incision: Minimally-invasive surgery to open up the neck of the bladder
  • Medication: Drug treatment can improve the symptoms of prostate enlargement, particularly in the early stages
  • Aquablation therapy: A minimally-invasive surgical treatment in which the surgeon removes prostate tissue using a heat-free waterjet
  • Urolift: A minimally invasive procedure in which the urologist inserts an implant that rapidly improves urine flow without the loss of ejaculatory or erectile function
  • Prostate artery embolisation: The London Clinic is one of the first independent hospitals in the UK to offer prostate artery embolisation. The procedure involves blocking the arteries that supply blood to the prostate, causing it to shrink
  • iTind: A temporary implant that the urologists insert in a quick, minimally-invasive procedure. The device presses on the urethra and improves the flow of urine. 

TURP consultation at The London Clinic

The world-leading urologists will assess and advise you in The London Clinic’s comfortable, private, and well-equipped consulting rooms. The surgeons will take a detailed medical history, examine your abdomen, pelvis and prostate gland, and ask about the impact your urinary symptoms have on your health, wellbeing, and quality of life.

Your consultant may arrange tests and investigations in the cutting-edge imaging suite. These may include:

  • Blood tests to check for anaemia, inflammation and kidney function
  • Prostate-Specific Antigen to screen for prostate cancer
  • Ultrasound
  • Urinalysis
  • Urodynamic studies

In accordance with NICE, the National Institute of Health and Care Excellence, the Urology consultants work with highly-trained multidisciplinary teams to discuss and plan your treatment. They will arrange your admission, explain the benefits and risks of the procedure, answer questions, and address any concerns you have. 

TURP surgery at The London Clinic

The urologists at The London Clinic perform TURP under general anaesthetic or using a spinal block so that you are awake but numb below the waist. The procedure lasts less than an hour.

Your surgeon will insert a fine operating telescope called a resectoscope into your penis. They will not make any incisions into the skin, so you will not have a scar following the procedure.

They will use a fine loop of wire to cut away the part of the prostate that blocks the bladder and urethra. The wire is heated, allowing it to seal blood vessels and reduce bleeding.

The surgeon will insert a thin tube called a catheter into your urethra to pump fluid into the bladder and flush away loose tissue.

Recovery and aftercare

After the procedure, you will need to stay in hospital overnight so that the expert team can monitor and support you as you recover. 

The catheter will drain your urine, and fluid irrigation will prevent any blood or tissue from blocking the urine flow. The team will usually remove the catheter after 24-48 hours. When you can pass urine independently, you can usually go home.

Your consultant will let you know their findings during surgery and provide individual guidance on aftercare. They will also arrange follow-up. 

Take time to rest and recover. You should avoid heavy lifting, strenuous exercise, driving and sex for 3-4 weeks. You should be able to return to work and normal activities after around a month. However, it can take longer, especially if your job involves manual labour.

Passing urine can be uncomfortable for several days. Drink plenty of fluids (at least 2-3 litres a day) to keep the urine dilute and reduce discomfort. If you are in increasing pain or struggling to empty your bladder, contact the urology team. They will always be on hand if you have any problems or worries.

Frequently asked questions

Will surgery affect sex?

You should avoid intercourse for three to four weeks after surgery because it can disturb healing and cause bleeding.

The procedure can affect ejaculation. It makes semen go back into the bladder instead of coming out of the penis. This is known as retrograde ejaculation. It's harmless, and the sensation of orgasm shouldn't change. However, it does affect fertility.

Is TURP safe?

All surgery has risks. The surgeons and The London Clinic team are dedicated to reducing complications and helping your recovery. Problems with pain, bleeding, scarring, and infection can happen after any operation. 

Specific issues with TURP surgery include:

  • problems having an erection
  • difficulty passing urine
  • incontinence
  • reduction in fertility
  • narrowing of the urethra
  • recurrence of symptoms.

Speak to your surgeon if you have any concerns. They will always take time to discuss the pros and cons of the procedure and answer any questions.

Why choose The London Clinic?

The London Clinic is dedicated to providing the best, personalised healthcare with over 600 world-renowned consultants available to offer informed health advice and treatment.

Spanning Harley Street and Devonshire Place, The London Clinic is situated in the heart of London’s internationally-known medical district. This central location, together with state-of-the art technologies and facilities that are not widely available in other hospitals, makes The London Clinic the hospital of choice for around 120,000 patients every year.

The London Clinic is an HTA licensed and JACIE accredited cancer centre with an ‘Excellent’ MacMillan Quality Environment Mark and with access to a Level 3 intensive care unit.

Offering affordable and competitive self-pay packages and expert support from Clinical Nurse Specialists and our specialised multidisciplinary team, over 98% of our patients said they would recommend The London Clinic to their friends and families.

Treatment cost

The London Clinic offers affordable, competitive self-pay packages for certain treatments. An All-Inclusive Package for this treatment is available from £5,975.

Patients have the option to spread the cost of treatment with Chrysalis Finance.

Please call +44 (0)20 3613 7502 to speak to our helpful team to find out more and to book an appointment.

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